IEEE and its members inspire a global community to innovate for a better tomorrow through highly cited publications, conferences, technology standards, and professional and educational activities. IEEE is the trusted “voice” for engineering, computing, and technology information around the globe.

IEEE membership offers access to technical innovation, cutting-edge information, networking opportunities, and exclusive member benefits. Members support IEEE's mission to advance technology for humanity and the profession, while memberships build a platform to introduce careers in technology to students around the world.

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As the world's largest technical professional organization, IEEE offers a number of ways to get involved with technical and local communities. These communities are active participants in research and authorship, conferences, and important conversations about today's most relevant technical topics locally and globally.

IEEE sponsors more than 1,800 annual conferences and events worldwide, curating cutting-edge content for all of the technical fields of interest within IEEE. Use the IEEE conference search to find the right conference for you to share and discuss innovation and interact with your community.

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IEEE provides a wide range of quality publications that make the exchange of technical knowledge and information possible among technology professionals. This essential content, categorized below, is delivered through the IEEE Xplore® Digital Library.

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With an active portfolio of nearly 1,300 standards and projects under development, IEEE is a leading developer of industry standards in a broad range of technologies that drive the functionality, capabilities, and interoperability of a wide range of products and services, transforming how people live, work, and communicate.

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IEEE offers a wide range of learning and career enhancement opportunities within the engineering sciences, research, and other technology areas. The goal of these programs is to ensure the growth of skill and knowledge among professionals and to foster individual commitment to continuing education among IEEE members, the engineering and scientific community, and the general public.

2. Respond to each question. 3. Enter the required information at the end of the form. 4. Submit the form.

Principles of Business Conduct Compliance Certificate

I have read and understand the IEEE Principles of Business Conduct. I will adhere in all respects to the standards described therein. I further confirm my understanding that any violation of the IEEE Principles of Business Conduct will subject me to appropriate disciplinary action, which may include termination of my volunteer/member position, or discharge from my staff position.

I certify to IEEE that I am not potentially in violation of the requirements of the program, unless I have noted that potential in a signed Statement of Exceptions (brief written description of the possible violation) attached to this Compliance Certificate.

Please answer the following:

Is a Statement of Exceptions needed?

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If yes, please enter Statement of Exceptions:

Conflict of Interest Disclosure Statement

1. Are you, or is any member of your immediate family, affiliated with a business that supplies property, goods, or services to IEEE or engages in any business that is competitive with IEEE or is a client of IEEE?

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If yes, please explain:

2. Do you, or any member of your immediate family, have a direct or indirect interest in a business that supplies property, goods, or services to IEEE or is in competition with IEEE or is a client of IEEE?

Yes No

If yes, please explain:

3. If you answered "Yes" to Questions 1 and/or 2 above, in the past 12 months have you made a business decision on behalf of IEEE with any business, named in the responses to those questions?

Yes No Does not apply

If yes, please explain:

4. In the past 12 months, have you received any compensation, loan, gift, benefit, or unusual hospitality from any supplier, competitor, or client to IEEE?

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If yes, please explain:

5. Have you received, or do you expect to receive, compensation from any unrelated organization or individual for services rendered to IEEE?

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If yes, please explain:

6. Do you have any other business or personal relationships, not covered in your answers to Questions 1 through 5 above, that could appear to be a conflict of interest?

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If yes, please explain:

ATTESTATION:

I have entered required responses to the Principles of Business Conduct Compliance Certificate and to Conflict of Interest Disclosure Statement the best of my knowledge and belief.

Are you an IEEE Employee?

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If no, please select checkbox: I have read and understand the IEEE Code of Ethics, particularly as it relates to the potential conflicts of interest noted above.

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IEEE Location for Staff or Address for Volunteers

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A copy of the completed form will be sent to your email for your records. You will be directed to a confirmation page if your form has been submitted successfully.Form date 10/15/15